WESLEY ROSACKER
NPI 1649401480
Counselor - Mental Health in Boulder, CO
Active since July 28, 2009
About Wesley Rosacker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESLEY ROSACKER (NPI 1649401480) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since July 2009.
NPPES Registry Identity
NPI1649401480
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWESLEY ROSACKER
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226
Phone(303) 413-8500
Sole ProprietorNo
Enumeration DateJuly 28, 2009
✔ NPI 1649401480 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1333 IRIS AVE, Boulder, CO 80304
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649401480, enumerated as an "individual" on July 28, 2009.
The provider is located at 1333 IRIS AVE BOULDER, CO 80304 and the phone number is (303) 413-8500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.